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From page 195... ...
For the analyses, the committee conducted a series of case-control studies to assess possible relationships between the exposures and outcomes of interest using exposure data from the Individual Longitudinal Exposure Record (ILER) , a joint Department of Defense–Department of Veterans Affairs platform that documents service-related toxic exposures of veterans and service members, linked to health outcomes data from the Veterans Health Administration (VHA)
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From page 196... ...
Measurement of health outcomes was limited by only having VHA data for the study period 2017–2023, which does not capture outcomes diagnosed outside of the VHA or within VA before 2017. Additionally, relevant conditions may have remained undiagnosed, misdiagnosed, or otherwise miscoded, as is common in electronic health records, particularly for psychiatric disorders.
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From page 197... ...
Thus, understanding cumulative risk of such exposures in relation to mental, behavioral and neurologic health outcomes would be particularly important. This report offers an exploratory step towards establishing which military exposures might increase risk of mental, behavioral, and neurologic health outcomes.
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From page 198... ...
Such future research could improve the accuracy and precision of estimates of the relationship between military exposures and mental, behavioral, and neurologic health outcomes. Furthermore, once there is strong evidence of a true association, rigorous research designs together with guidelines for evidence of causality between military exposures and health among veterans, supported by a deep understanding sub-group effects and heterogeneity, may permit future causal inference.
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